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Nevada Medicaid and Nevada Check Up: Beginner’s Guide

The Nevada Medicaid and Nevada Check Up programs are for low-income individuals and families living in Nevada who need better access to healthcare. The Nevada Check Up program is for kids, while the NV Medicaid program covers other eligibility groups.

Click below to learn more about NV Medicaid:

Guide to Nevada Medicaid Coverage

Some of the services that the Nevada Medicaid coverage includes are:

  • Ambulance/emergency transportation/some non-emergency medical transportation
  • Birth control, family planning, maternity care, and midwife services
  • Dental   
  • Orthotics & prosthetics  
  • Doctor visits  
  • Emergency room  
  • Eye exams and eyeglasses  
  • Hearing tests  
  • Home health
  • Hospice
  • Hospital services
  • Immunizations  
  • Labs/radiology
  • Medical equipment and supplies
  • Mental health/substance abuse Services  
  • Nursing Home Services  
  • Occupational and physical therapy
  • Over-the-counter drugs (when prescribed)
  • Preventive screenings  
  • Private duty nursing  
  • Prescription drugs  
  • Speech therapy
  • Tobacco cessation
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What is Nevada Check Up?

Nevada Check Up is the Nevada CHIP (Children’s Health Insurance Program). Kids from birth through age 18 can qualify based on total household income. Even if you do not qualify for adult Medicaid in Nevada, your kids may qualify for NV Check Up. If you qualify, you will not owe any co-payments or deductibles but may have a small quarterly premium ($25, $50, or $80 per household, based on income). Kids living in households with up to 200% of the Federal Poverty Level may qualify. 200% equals to about $50,200 per year in 2018.

MCO/Managed Care Organizations for Nevada Medicaid

NV Medicaid uses the MCO (Managed Care Organization) system. Some Nevada Medicaid members will receive care through a MCO. As of January 2018, the available MCOs are Anthem BlueCross BlueShield Healthcare Solutions (formerly Amerigroup), Health Plan of Nevada, and SilverSummit Healthplan. If you are enrolled in one of those three MCOs, you will receive your dental care through LIBERTY Dental Plan of Nevada.

If you need to change plans for any reason, mail this form to the address listed on the bottom. Be sure to fill out all fields before mailing! The three plans are relatively similar, but they do have the ability to offer extra benefits, like:

Anthem BlueCross BlueShield Healthcare Solutions

  • Additional transportation
  • Annual Boys & Girls Club memberships for ages 5-14
  • Disease management programs
  • Free cell phone with monthly minutes, data, and texting
  • Health education classes
  • LiveHealth Online for video chat doctor appointments
  • Medication delivery
  • New Baby, New Life education and rewards for new moms
  • Rewards for healthy living
  • Sports physicals for kids

Health Plan of Nevada

SilverSummit Healthplan

  • $100 towards contact lenses for adults
  • $30 rewards for your first preventive dental visit
  • Boys and Girls Club memberships for ages 6-18
  • Enhanced over-the-counter drug benefit ($30 per household, per quarter)
  • Second asthma nebulizer for your child to keep at school
  • Start Smart for Your Baby rewards program for expecting and new mothers
  • Weight Watchers membership vouchers
Have Questions? Request Information On Local Options

Nevada Medicaid Eligibility Requirements

Nevada Medicaid eligibility depends on your income and family size. Your kids may qualify for Nevada Checkup even if you don’t qualify for Nevada Medicaid. If you do qualify, there is no enrollment period (unlike Medicare), so you can apply and enroll at any time of year. The limit in 2018 is 138% of the Federal Poverty Level (FPL), which is about $16,753 per year for an individual or $34,638 for a family of four.

Nevada Medicaid Eligibility | Medicare Plan Finder

Completing the Nevada Medicaid Application

You can apply for Nevada Medicaid and Nevada Check Up by visiting Access Nevada and clicking “get started.” If you don’t already have one, you’ll need to create an account. This will be your Nevada Medicaid and Nevada Check Up login for completing your application. You can also use this account to apply for SNAP, cash assistance, child care, and WIC. You can also download and print the application, then mail it to the address listed on the bottom. However, the application is subject to change. Plus, it’s much easier to track your application status and to get your benefits faster when you apply online.

Who to Call for Help

If you need help submitting your application, scheduling non-emergency medical transportation, or getting a medical appointment, start by contacting your MCO (Managed Care Organization). If you are not enrolled in an MCO, visit or call your local Nevada Medicaid and Nevada Check Up office.  

Nevada Medicaid/Nevada Check Up Central Office (NMO)

1100 East William Street, Suite 101, Carson City, Nevada 89701

Telephone: (775) 684-3600 Fax: (775) 687-3893

Las Vegas Medicaid/Nevada Check Up District Office

1210 S. Valley View, Suite 104, Las Vegas, NV 89102

Telephone: (702) 668-4200 Fax: (702) 668-4280

Reno Medicaid/Nevada Check Up District Office

560 Hammill Lane, Reno, NV 89511

Telephone: (775) 687-1900 Fax: (775) 687-1901

Carson City Medicaid/Nevada Check Up District Office

1000 East William Street, Ste 118, Carson City, NV 89701

Telephone: (775) 684-3651 Fax: (775) 684-3663

Elko Medicaid/Nevada Check Up District Office

1010 Ruby Vista Drive, Suite 103, Elko, NV 89801

Telephone: (775) 753-1191 Fax: (775) 753-1101

How to get Both Medicare and Medicaid in Nevada

Do you qualify for both Medicaid and Medicare? You can qualify for Medicare either by turning 65, developing ALS or ESRD, or entering your 25th month of SSDI. If you qualify for both programs, you may be eligible for a Dual-Eligible Special Needs Plan (DSNP). A DSNP is a type of Medicare Advantage plan that can come at very little cost but may cover more than Original Medicare. Interested? Click here or call 833-438-3676 and one of our licensed agents will try to get you into the best possible plan.

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